Hutton J D, Narayan R
N Z Med J. 1986 Jan 22;99(794):3-5.
An increasing incidence of ectopic pregnancy resulted in 177 women being treated at National Womens's Hospital in 1979 and 1980. However, only 65% of women were diagnosed and treated within 24 hours of admission. The affected tube was conserved in only 24% of women. Blood transfusion was required in 52 patients (29%) and in one quarter of these cases, the diagnosis was not made within 24 hours of admission. Four of 20 patients who were discharged and readmitted before the diagnosis was made required blood transfusion, and one of these women was shocked. Women who present with pelvic pain and vaginal bleeding after less than 9 weeks amenorrhea and have pelvic tenderness and abdominal rebound tenderness, must be suspected of having an ectopic pregnancy. Early laparoscopy may then reduce the need for both transfusion and radical tubal surgery.
异位妊娠发病率的上升导致1979年和1980年有177名女性在国家妇女医院接受治疗。然而，只有65%的女性在入院后24小时内得到诊断和治疗。仅24%的女性保留了患侧输卵管。52名患者（29%）需要输血，其中四分之一的病例在入院后24小时内未确诊。在确诊前出院又重新入院的20名患者中有4名需要输血，其中一名女性出现休克。对于停经少于9周后出现盆腔疼痛和阴道出血且有盆腔压痛和腹部反跳痛的女性，必须怀疑其患有异位妊娠。早期腹腔镜检查可能会减少输血和输卵管根治性手术的需求。
